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Dr. Jaime Woodall

Dentist in Collinsville, VA. Individual provider (NPI-1).

NPI number1679925614
StatusActive
Last updated in NPPESFeb 27, 2019

Details

NPI
1679925614
Entity type
Individual (NPI-1)
Name
Dr. Jaime Woodall
Sex
Female
Sole proprietor
No
Enumeration date
Jul 1, 2016
Last updated
Feb 27, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist0401415310VAYes

Practice location

4721 Kings Mountain Rd
Collinsville, VA 24078-1274

Phone 276-647-3802

Mailing address

4721 Kings Mountain Rd
Collinsville, VA 24078-1274

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